Key result
Skeletonized harvesting with intact pleural integrity using a harmonic scalpel, keeping the artery perfused, and using perivascular papaverine injection is the optimal approach for ITA preparation.
Why the study?
Multiple techniques exist for internal thoracic artery harvesting and preparation, but a single standard method has yet to be determined.
What are the optimal techniques for harvesting and preparing internal thoracic arteries for myocardial revascularization?
Comparison
Various techniques for internal thoracic artery harvesting and preparation
Design
Systematic review
Authors
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Skeletonization of ITA may reduce sternal wound infections in diabetics; confirms graft benefits while noting learning curves for alternatives.
Systematic Review
What are the optimal techniques for harvesting and preparing internal thoracic arteries for myocardial revascularization?
Skeletonization of internal thoracic arteries and the use of harmonic scalpels or minimally invasive techniques offer specific benefits such as reduced sternal wound infection and less tissue damage, though they require a learning curve.
Masroor et al. (2021) conducted a systematic review in Coronary artery disease requiring myocardial revascularization. Skeletonized harvesting, intact pleura, harmonic scalpel, and perfused ITA with perivascular papaverine vs. Traditional pedicled harvesting, open pleura, electrocautery, and clipped ITA was evaluated on Optimal techniques for internal thoracic artery harvesting and preparation. Skeletonized harvesting with intact pleural integrity using a harmonic scalpel, keeping the artery perfused, and using perivascular papaverine injection is the optimal approach for ITA preparation.
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